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Individual

EDER MANUEL GALVAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
18646 OXNARD ST, TARZANA, CA 91356-1411
(888) 777-8565
Mailing address
8213 LENNOX AVE, PANORAMA CITY, CA 91402-5230
(818) 582-0420

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary

Other

Enumeration date
01/29/2015
Last updated
01/29/2015
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